Aetiology:
- Traumatic – after septal surgery, nose picking, cocaine sniffing and pressure from foreign bodies and nasal polyps.
- Infective – due to syphilis and tuberculosis.
- Chronic inflammatory – Wegener’s granulomatosis is a non-neoplastic upper airways granuloma associated with focal lung and kidney lesions. (Lethal) midline granuloma is thought to be an atypical lymphoma occurring in the midline of the face.
Asymptomatic, or nasal crusting and epistaxis are characteristic of septal perforation.
Management:
Treatment is by removal of crusts, nasal douches and treatment of underlying systemic conditions.
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